Bartlett v. John Hancock Mutual Life Insurance

538 A.2d 997, 1988 R.I. LEXIS 27, 1988 WL 19226
CourtSupreme Court of Rhode Island
DecidedMarch 10, 1988
Docket86-268-M.P.
StatusPublished
Cited by44 cases

This text of 538 A.2d 997 (Bartlett v. John Hancock Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bartlett v. John Hancock Mutual Life Insurance, 538 A.2d 997, 1988 R.I. LEXIS 27, 1988 WL 19226 (R.I. 1988).

Opinion

OPINION

SHEA, Justice.

This case is before us on the defendant’s petition for certiorari seeking review of a Superior Court order granting the plaintiff’s motion to compel production of the defendant insurance company’s claim file. The plaintiff alleged that the defendant both breached its duty under a contract of life insurance and acted in bad faith by denying liability for accidental death benefits under the policy in which the plaintiff was named as sole beneficiary. We quash the order of the Superior Court.

On June 24, 1984, Paul Anjoorian, plaintiff’s father, fell on the sidewalk in front of his house in Providence, Rhode Island, and injured his neck. He was admitted to the intensive-care unit at the Miriam Hospital, where he was placed in a Philadelphia collar for his neck injury and treated with Decadron and Librium. 1 According to the hospital report, he was clearly inebriated at *998 the time of his admission and had a history of heavy, chronic alcohol intake for many years.

On June 30, 1984, Anjoorian was transferred from the Miriam Hospital to St. Joseph’s Hospital at the request of his family. His diagnosis upon discharge from the Miriam Hospital was a cervical spine injury with cervical cord injury. While at St. Joseph’s Hospital he became intermittently confused and unruly and was confined to his bed through the use of a posey. 2 He also continued to wear the Philadelphia collar.

On the evening of July 9,1984, Anjoorian was disoriented and cried out frequently from his bed. The nursing staff made frequent visits to his room. In the early morning of July 10, 1984, a nurse found Anjoorian seated on the floor against the right side of his bed. The Philadelphia collar was intact, and the bib of the posey was found around the collar and between the top of the collar and his chin. The straps of the posey were still tied to the bed frame.

Anjoorian was not breathing and did not respond to the nurse. He had been incontinent and had vomited. The hospital staff’s efforts to revive him failed. According to the report of the State Medical Examiner, the cause of his death was “a respiratory failure secondary to aspiration pneumonia, mucopurulent bronchitis with atelectasis and emphysema.” 3 The manner of death was described as “natural/accident.”

In September 1984 defendant authorized a payment of $50,000 to plaintiff under the basic death-benefit terms of the contract. However, in December 1984 it denied her claim of an additional $50,000 under the accidental death benefits of the policy.

In October 1985 plaintiff filed a complaint in two counts, alleging that defendant’s refusal to pay the accidental death benefits constituted both a breach of the insurance contract and a bad-faith refusal to pay the claim pursuant to G.L. 1956 (1985 Reenactment) § 9-1-33. 4

In her request for production of documents plaintiff asked for a copy of the policy, every document in defendant’s claim file, all correspondence between plaintiff and defendant, all investigation reports in connection with Anjoorian’s death, and a copy of defendant’s report of the investigation entitled “Special Activities”. The defendant objected to plaintiff’s request on the grounds that it called for the production of materials protected from discovery because they are attorney-client communications or materials prepared in anticipation of litigation.

*999 The plaintiff filed a motion to compel defendant to comply with her request for production. A hearing on the motion was held in May 1986. At the hearing the trial justice ordered defendant to produce its entire claim file. He based his decision solely on the fact that plaintiff’s complaint contained a bad-faith claim against defendant.

The question before us is whether the trial justice erred in ordering defendant to produce its entire claim file upon plaintiffs mere allegation of bad faith while the underlying breach-of-contract claim for accidental-death benefits was still pending.

The plaintiff argues that because she is alleging that defendant acted in bad faith in denying her claim, she should have complete access to defendant’s claim file. She states that the documents in defendant’s claim file are of the utmost relevance in determining whether defendant acted in bad faith. In support of this argument she cites Brown v. Superior Court in and for the County of Maricopa, 137 Ariz. 327, 670 P.2d 725 (1983). In Brown, the court dealt solely with a bad-faith claim against an insurer and not with the underlying contract claim. The court allowed the plaintiff complete access to the insurer’s claim file. It reasoned that

“bad-faith actions against an insurer, like actions by client against attorney, patient against doctor, can only be proved by showing exactly how the company processed the claim, how thoroughly it was considered and why the company took the action it did. * * * [l]n an action such as this the need for the information in the file is not only substantial, but overwhelming.” Id. at 336, 670 P.2d at 734.

Although that reasoning may be acceptable in a case in which bad faith is the only issue, it cannot be applied when the underlying contract claim is still pending.

This court has previously decided that certain reports prepared by an insurer are entitled to protection from discovery in a breach-of-contract action under Rule 26(b)(2) of the Superior Court Rules of Civil Procedure. 5 In Fireman’s Fund Insurance Co. v. McAlpine, 120 R.I. 744, 391 A.2d 84 (1978), we held that “statements taken by a claim agent immediately after an accident are taken in anticipation of litigation.” Id. at 753, 391 A.2d at 89 (quoting Almaguer v. Chicago, Rock Island & Pacific R.R., 55 F.R.D. 147, 149 (D. Neb. 1972)). Because these statements were taken in anticipation of litigation, they were entitled to a “qualified privilege” under Rule 26(b)(2). This privilege is qualified because the opposing party who seeks production of materials prepared in anticipation of litigation may obtain the materials only upon a showing that “ ‘a denial of production or inspection will result in an injustice or undue hardship.’ The determination of this issue is vested in the sound discretion of the trial justice, who should look at the facts and circumstances of each case in arriving at an ultimate conclusion.” 120 R.I. at 754, 391 A.2d at 90. Therefore, in the present controversy, while the liability under the contract for insurance is still at issue, certain documents in defendant’s claim file are protected by the qualified privilege of Rule 26(b)(2). 6 To grant total *1000

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Cite This Page — Counsel Stack

Bluebook (online)
538 A.2d 997, 1988 R.I. LEXIS 27, 1988 WL 19226, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bartlett-v-john-hancock-mutual-life-insurance-ri-1988.